Organization
ILEANA MOYA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILEANA MOYA D.M.D (PRESIDENT)
(863) 983-5600
Entity
Organization
Contact information
Practice address
872 W SUGARLAND HWY, SUITE 1A, CLEWISTON, FL 33440-2704
(863) 983-5600
(863) 983-5625
Mailing address
872 W SUGARLAND HWY, SUITE 1A, CLEWISTON, FL 33440-2704
(863) 983-5600
(863) 983-5625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20337
FL
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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